Cord Transection by Guillotine Effect of Fractured Ribs

Jabre, Anthony; Barest, Glenn D.; Sledge, John B.; Jessie, Marquis

doi:10.1097/00005373-200104000-00023

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…Gkiokos et al [2] described a ''painful rib hump'' as a clinical indicator of rib head intrusion into the spinal canal. Fractured ribs intruding into the spinal canal at T3-T4 and causing complete cord transaction has been reported [9] following a high speed motor vehicle accident. Neurological deficits have also been reported following cord compression from an osteochondroma of the rib head [10].…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic thoracic scoliosis with rib head dislocation and intrusion into the spinal canal: a case report and review of literature

et al. 2010

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The objective of the study was to report a rare occurrence of dislocation and intrusion of two rib heads into the spinal canal at the convex apex of a post-traumatic thoracic scoliosis in an adult in the absence of any neurological impairment. A 47-year-old male presented with a slowly progressive, post-traumatic thoracic scoliosis and a mild aching sensation over the posterior chest wall. The lower limb neurology and bowel and bladder function were normal. There was no clinical evidence of neurofibromatosis. CT scans showed that the 8th and 9th ribs on the convex apex of the scoliotic curve had intruded into the spinal canal and were lying adjacent to the dura and spinal cord. The MRI scan did not show any cord signal intensity changes. Although rib dislocation and intrusion into the spinal canal is uncommon, images should be carefully analysed to rule out this condition in sharp angular scoliotic curves.

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Section: Discussionmentioning

confidence: 99%

Post-traumatic thoracic scoliosis with rib head dislocation and intrusion into the spinal canal: a case report and review of literature

et al. 2010

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“…In human medicine, luxation of a rib head into the spinal canal has been described mostly in cases of spinal deformities [ 3 , 4 ]. There have been, however, reports of some cases of traumatic origin [ 3 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of post-traumatic luxation of rib heads with spinal cord compression in a cat

et al. 2021

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Background Luxation of the rib head with intrusion into the intervertebral foramen seems to be rare in cats. Only one report has been published describing a cat with non-ambulatory paraparesis, which was managed conservatively. Here we report a case of rib head luxation that was managed surgically. Case presentation A 4-year-old, female domestic shorthair cat with a two-week history of non-ambulatory paraparesis was presented at our clinic. Based on history and neurological examination, a diagnosis of thoracolumbar spinal cord lesion of traumatic origin was made. Computed tomography scanning revealed mild scoliosis, a luxation of the 3rd and 4th right rib heads and penetration into the spinal canal through intervertbral foramina. Surgical management using right dorsal approach to the spine was performed. The spinal cord was decompressed by cutting and removing of proximal ribs’ fragments by rotation and pulling out from the intervertebral foramina. The cat was ambulatory and paraparetic four weeks after surgery. Two years after surgery the cat regained functional gait, but ataxia remained. Conclusions We report the first case of a surgical treatment of rib head luxation and intrusion into the spinal canal in a cat. The applied procedure resulted in an improvement of neurological signs.

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Left fourth and sixth costovertebral dislocation abutting the aorta

et al. 2023

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While rib fractures are common in blunt thoracic trauma, dislocations of the costovertebral joints (CVJs) are extremely rare and typically involve the first, eleventh, or twelfth rib. We report a rare case of dislocation of the left fourth and sixth CVJs in a 36-year-old man who was run over by a car. The rib heads were displaced anteriorly, abutting the aorta. Additional injuries included bilateral hemopneumothoraces, pneumomediastinum, pulmonary contusions, grade 3 splenic injury, left adrenal hematoma, retroperitoneal hematoma, Morel-Lavallée lesions at bilateral hips, and multiple fractures, including at the ribs and pelvis. There was also a fracture of the fourth thoracic vertebral body, which was occult on initial CT, but seen on subsequent CTs. The CVJ dislocations were managed conservatively, without short-term complications. Prompt surgical intervention has been recommended in cases where sharp rib fracture fragments are displaced close to the aorta to prevent fatal aortic injuries. However, there is a literature gap on the management of rib heads that are dislocated against the aorta. Our experience suggests that conservative management may be acceptable in some of these cases. This case report aims to increase radiologists’ awareness of CVJ injuries, which are important for thoracic spine stability, and highlights the association between CVJ dislocations and spinal injuries.

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Cord Transection by Guillotine Effect of Fractured Ribs

Cited by 5 publications

References 4 publications

Post-traumatic thoracic scoliosis with rib head dislocation and intrusion into the spinal canal: a case report and review of literature

Post-traumatic thoracic scoliosis with rib head dislocation and intrusion into the spinal canal: a case report and review of literature

Surgical treatment of post-traumatic luxation of rib heads with spinal cord compression in a cat

Left fourth and sixth costovertebral dislocation abutting the aorta

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